Organization
LIFEQUEST KENNESAW, LLC
Active
Other names
Energy Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BROUSSARD (VICE PRESIDENT)
(678) 973-0635
Entity
Organization
Contact information
Practice address
3362 ACWORTH SUMMIT BLVD NW, ACWORTH, GA 30101-5770
(678) 973-0635
Mailing address
3362 ACWORTH SUMMIT BLVD NW, ACWORTH, GA 30101-5770
(678) 973-0635
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
33753
GA
Other
Enumeration date
07/08/2014
Last updated
09/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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